Leske Jane S, McAndrew Natalie S, Evans Crystal-Rae Dawn, Garcia Annette E, Brasel Karen J
College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
J Trauma Nurs. 2012 Jul-Sep;19(3):190-4. doi: 10.1097/JTN.0b013e318261d041.
Family presence during resuscitation (FPDR) is an option occurring in clinical practice. National clinical guidelines on providing the option of FPDR are available from the American Association of Critical-Care Nurses, American Heart Association, Emergency Nurses Association, and Society of Critical Care Medicine. The FPDR option currently remains controversial, underutilized, and not the usual practice with trauma patients. This article is based on the methodological and practical research challenges associated with an ongoing study to examine the effects of the FPDR option on family outcomes in patients experiencing critical injury after motor vehicle crashes and gunshot wounds. The primary aim of this study was to examine the effects of the FPDR option on family outcomes of anxiety, stress, well-being, and satisfaction and compare those outcomes in families who participate in FPDR to those families who do not participate in FPDR. Examples of real clinical challenges faced by the researchers are described throughout this article. Research challenges include design, sampling, inclusion/exclusion criteria, human subjects, and procedures. Recruitment of family members who participated in the FPDR option is a complex process, especially after admission to the critical care unit.
复苏期间家属在场（FPDR）是临床实践中出现的一种选择。美国重症护理护士协会、美国心脏协会、急诊护士协会和危重病医学协会都有关于提供FPDR选项的国家临床指南。目前，FPDR选项仍然存在争议，未得到充分利用，并且在创伤患者中并非通常的做法。本文基于一项正在进行的研究中与方法学和实践相关的研究挑战，该研究旨在探讨FPDR选项对机动车碰撞和枪伤后严重受伤患者家庭结局的影响。本研究的主要目的是检验FPDR选项对家庭焦虑、压力、幸福感和满意度结局的影响，并将参与FPDR的家庭与未参与FPDR的家庭的这些结局进行比较。本文自始至终都描述了研究人员所面临的实际临床挑战的实例。研究挑战包括设计、抽样、纳入/排除标准、人体受试者和程序。招募参与FPDR选项的家庭成员是一个复杂的过程，尤其是在进入重症监护病房之后。
